Indiana

Indiana Behavioral Health Credentialing and IHCP Enrollment

Q: Can I enroll in Indiana Medicaid from out of state?

It depends on whether you are enrolling as a person or as a program, and Indiana is unusually clear about it. The IHCP enrollment matrix marks a long list of behavioral health program specialties as ineligible for out-of-state enrollment entirely, including outpatient mental health clinic, community mental health center, adult mental health and habilitation, child mental health wraparound, mobile crisis unit and CCBHC. Individually licensed practitioners are treated differently and have an out-of-state column, as do physicians and advanced practice nurses. That distinction decides how a multi-state telehealth practice has to be structured here.

Q: How long does credentialing take in Indiana?

Plan on 60 to 120 days per commercial payer end to end from a clean file to a countersigned contract. Anthem describes the credentialing step alone as commonly 30 to 90 days and issues an application number with a five business day notice if the file is incomplete. Physicians Health Plan of Northern Indiana notifies you within 10 business days of its Credentials Committee recommendation once verification finishes. The fifteen business day statutory clock is shorter than any of that, and it only runs on a genuinely clean application.

Indiana puts a fifteen business day clock on commercial credentialing and then pays you back for the wait. Blow the clock on a clean application and the carrier has to credential you provisionally, then pay retroactive to that date once the contract is executed. Everything hangs on the word clean, which the statute defines as an application with no error that can be processed without being returned.

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Indiana payers and timelines

Where the delays actually happen

Getting on a panel isn’t the same as getting paid.

In Indiana the delay usually starts before the clock does. A carrier has five business days to tell you a file has an error, and the fifteen business day clock never starts on an application that comes back. On the Medicaid side the wait sits between one state enrollment and four different plan rosters. We work all of it and tell you which step you’re actually in.

Credentialed›contracted›loaded›connected›payable

Two tracks

Four Medicaid programs. One Blue. One statute worth knowing.

Saying “I take Indiana Medicaid” is four or five different answers here. The commercial side is simpler on paper and has a legal clock behind it that almost no provider knows about.

Indiana Health Coverage Programs

Enroll once with the IHCP. Contract by program.

Indiana runs Traditional fee-for-service alongside four managed care programs, each with its own plan list. Hoosier Healthwise covers children and pregnant members. The Healthy Indiana Plan covers most working-age adults. Hoosier Care Connect covers aged, blind and disabled members under 60. PathWays for Aging, live since July 1, 2024, covers members 60 and older. There is no statewide behavioral health carve-out, though UnitedHealthcare routes its Indiana behavioral health through Optum on both of its Medicaid lines.

How you enrollThrough the IHCP Provider Healthcare Portal, run on CoreMMIS by Gainwell Technologies. Paper still works through the Provider Enrollment Packet Finder. Start from the Provider Enrollment Type and Specialty Matrix, version 11.1 dated March 26, 2026, which lists the documents each type owes and flags what can’t enroll from out of state. A solo practice that bills directly enrolls as a billing provider. A clinician under a group enrolls as a rendering provider, and the group signs an IHCP Rendering Provider Agreement for each one at each service location.

One thing we resolve by phone, not by guessingAn advanced practice nurse enrolls under provider type 09. The specialty list under 09 covers pediatric, obstetric and family nurse practitioners, clinical nurse specialists, CRNAs and certified nurse midwives, and we found no psychiatric nurse practitioner option in it. So which specialty a psych NP should carry is an open question, and we put it to Indiana Medicaid provider enrollment directly before filing. Guessing puts a client under the wrong specialty and breaks their billing in a way that’s hard to trace later.

Sequencing, in orderIHCP first, plans second. The managed care entities check the state side before a contract moves, so the IHCP Provider ID has to exist first. Then sequence by program. A general adult outpatient practice usually starts with the HIP roster, a child and adolescent practice with Hoosier Healthwise, and an older-adult panel sits in PathWays, which is a completely different plan set. Anthem is the one plan that covers all four.

Two lines that separate a clinician from a programThe specialty behavioral health services sit behind certification by the FSSA Division of Mental Health and Addiction, and the matrix says so plainly. Ordinary outpatient psychiatric evaluation and medication management billed by a licensed prescriber doesn’t run through that door. The application fee, $750 for enrollments received in 2026, lands on institutional providers per service location rather than on individual professionals, and an ordering, prescribing, referring enrollment carries none.

Commercial

CAQH isn’t a preference here. It’s the law.

Indiana never built a state credentialing portal. It did something simpler: IC 27-8-11-7(e) has the Department of Insurance prescribe the CAQH application form and requires both the applying provider and the credentialing insurer to use it. Anthem holds the Blue license for the whole state, so there is no second Blue to chase.

Your CAQH is a single point of failureOne profile feeds every commercial application in the state, which is good news right up until it lapses. A stale attestation makes every file unclean at once and hands back the fifteen business day clock across all of them. You complete and attest your own profile. We’re added as an authorized practice manager, so we keep the practice data current and get each carrier authorized, and we never ask for a password.

The exception that catches everyoneEncore Health Network, one of the largest PPOs in Indiana, doesn’t subscribe to CAQH. It takes a paper copy of the fully completed CAQH application in place of its own form, with every supporting document and certificate attached. Authorize and forget, and the Encore application simply never existed. Authorizing CAQH is not the same as filing an application, and sufficiency has to be checked per payer.

Behavioral health has its own door at two carriersUnitedHealthcare’s is Optum, started inside Provider Express. Cigna’s is Evernorth. Aetna credentials behavioral health itself but on a separate request for participation. Anthem, CareSource, MHS and Ambetter, PHP and Encore all handle it in-plan. Applying through the medical door when the behavioral door is the real one is the most expensive mistake available in this state.

Seeing patients in other statesOne Anthem Indiana contract reaches Blue members elsewhere through BlueCard, and Aetna, Cigna and UnitedHealthcare are national. The gate is a license where the patient is, not another contract. Medicaid is the genuine exception, and Indiana adds its own wrinkle: an out-of-state entity can’t enroll as an Indiana behavioral health program, even where an individually licensed practitioner can.

Indiana commercial payers

Who you’ll apply to, and how long it usually takes.

These are typical ranges from a clean application. Indiana’s statutory clock is shorter than all of them, and it is the carrier’s obligation rather than a date we control. We track it and push.

Anthem Blue Cross and Blue Shield

The anchor contract. Elevance Health is headquartered in Indianapolis.

Usually: Anthem describes credentialing as commonly 30 to 90 days. Plan on roughly 60 to 120 days end to end from a clean file to a countersigned contract
What it tells you: an application number when the participation request goes in, and notice within five business days if the file is incomplete, which lines up with the statute
CAQH: Anthem runs new Indiana enrollment through a digital tool on Availity that pulls straight from CAQH and returns a contract for electronic signature. Anthem has signaled a move to Availity Essentials during 2026, so confirm the current front door. It verifies your license directly with the Indiana licensing board
Why it is heavier than it looks: all three State of Indiana employee plans run on Anthem’s National BlueCard PPO network with a Tier 1 HealthSync preferred tier, and Elevance closed its purchase of Indiana University Health Plans on December 31, 2024. Anthem’s Medicaid line is still a separate contract from commercial

UnitedHealthcare and Optum Behavioral Health

The strongest published opening in the state

Usually: about 60 to 120 days from a complete application. Optum says a Provider Relations Advocate turns around documentation questions within two business days
Published green light: Optum’s Indiana page recognizes Indiana as an any willing provider state and says it accepts applications accordingly. It lists MDs, DOs, PAs and RNs with prescriptive authority as sought in all Indiana counties, plus telemental health and medication-assisted treatment prescribers
CAQH: required, with a CAQH ID in place before you begin. Join Our Network has a separate button per provider type, so pick the individual clinician path rather than agency or facility
Watch: Optum also manages behavioral health for UnitedHealthcare’s PathWays for Aging and Hoosier Care Connect Medicaid lines, which are separate contracts from commercial

Separate door: Optum Behavioral Health

Aetna

Network need answered before credentialing

Usually: about 60 to 120 days from a clean file, with an eligibility answer on network need within 45 days
Sequence: request for participation, network-need evaluation, credentialing pulled from CAQH, then contract finalization. Recredentialing generally every 36 months
Why that order helps: a no on network need arrives early rather than after months of paperwork
Watch: behavioral health goes through Aetna’s separate behavioral health request for participation, so starting on the medical form costs weeks

Separate form: Aetna Behavioral Health

Cigna Healthcare

Behavioral health goes through Evernorth

Right now: Evernorth stopped accepting new individual and clinic behavioral health applications on June 1, 2026 and signaled a reopen after September 1, 2026. Facilities are exempt and anything filed before June 1 is unaffected. The decision is national, not an Indiana one
When it reopens: Evernorth says the process can take up to about 90 days. It wants your CAQH identification number on its behavioral provider information form and asks for re-attestation every 120 days
Bigger than it looks: Sagamore Health Network, one of Indiana’s long-standing PPOs, is a wholly owned Cigna subsidiary, so the Cigna footprint here exceeds its commercial member count
Our read: don’t build an Indiana launch around Cigna today. We track the reopen and file the day it opens rather than sitting in a queue that isn’t moving

Separate door: Evernorth Behavioral Health

Ambetter from MHS Indiana

The Marketplace half of Centene in Indiana

Usually: roughly 60 to 120 days from a complete file. Confirm current turnaround at submission
Faster if you already hold MHS Medicaid: MHS treats adding a line of business to an existing contract as a network participation request and assigns a Request ID in the confirmation email, so the Marketplace add usually beats starting cold
CAQH: credentialing runs on CAQH with MHS authorized. Ambetter also asks behavioral health applicants for its Behavioral Health Provider Specialty Form
Watch: same company as your Medicaid MHS contract, different contract. Worth doing alongside the Medicaid side, because the paperwork overlaps and the intake is the same door

CareSource Indiana

Medicaid and Marketplace, on separate contracts

Usually: plan on roughly 60 to 120 days from a clean file. Confirm current turnaround at submission
Who it credentials: all licensed independent practitioners including behavioral health and non-physician practitioners. Its Indiana behavioral health guidance names advanced practice nurses credentialed in psychiatric or mental health nursing by name
Useful early signal: that same reference guide points at DMHA certification for the specialty program services, which tells you quickly whether your service mix is practitioner-billed or agency-gated
Watch: a nonprofit based in Dayton, Ohio, sitting on both sides of the Indiana market. Two contracts, not one

Physicians Health Plan of Northern Indiana

The Fort Wayne plan. Acquired by Priority Health December 1, 2024.

Sequence: a Participation Application Request Form with professional liability documentation and your state license goes to the credentialing coordinator first. PHP then directs you to complete CAQH with primary source verification
Then: in PHP’s own words, once verification is complete you are notified within 10 business days of the Credentials Committee recommendation and, if eligible, contacted by Provider Services to start contracting
Why bother: founded in 1983, serving more than 50,000 members across northern Indiana and into Ohio. If you practice in the Fort Wayne region or the northeast corner, the national carrier list doesn’t reach these patients
Watch: the Priority Health acquisition is recent enough that some directories and contracts still carry the old branding

Encore Health Network

The Indiana network people forget until a claim shows up

Usually: no published turnaround for the initial decision. Credentialing at application and then about every three years. Confirm at submission
The paper exception: Encore doesn’t subscribe to CAQH. It accepts a paper copy of your fully completed CAQH application in place of its own form, with all supporting documents and certificates. An authorize-and-forget habit leaves this one untouched
Why it earns its place: an Indianapolis PPO reporting more than 609,000 members, widely rented by self-funded Indiana employers and TPAs. A patient whose card says something else entirely may reach you through Encore
It credentials behavioral health explicitly: psychiatrists and physicians certified in addiction medicine, doctoral-level Indiana practitioners with the HSPP designation, LCSWs, LMFTs, LMHCs, and advanced nursing specialists including nurse practitioners and clinical nurse specialists

What Indiana law does and doesn’t give you

The most provider-friendly credentialing statute we have found anywhere

A fifteen business day clock, with a real consequence. IC 27-8-11-7 covers insurers and IC 27-13-43-2 covers HMOs, and they say the same thing. Five business days for the carrier to tell you an application has an error and why, five business days for you to respond, and if the carrier receives a clean application and fails to decide within fifteen business days it has to provisionally credential you under NCQA provisional credentialing standards and notify you. Provisional status holds until a determination is made
And then it pays you back. Once the carrier fully credentials a provisionally credentialed provider and a network provider agreement has been executed, reimbursement under that contract runs retroactive to the provisional date at your contracted rates. This is the carrier’s legal obligation. It isn’t something we can promise on their behalf
Read the conditions before you count on it. The whole thing turns on a clean application, defined as one containing no error and processable without being returned. And if the carrier ultimately denies credentialing, provisional status terminates on the date it notifies you of the adverse determination and it owes nothing for the provisional period. No executed agreement means no retroactive payment either, so credentialing approval alone doesn’t get you there
One precision note we won’t smooth over. The statutory text we could reach says business days in both chapters. Some secondary legal databases render the HMO section as calendar days. Treat business days as the working assumption and confirm against the current Indiana Code text before relying on the exact count in a dispute
CAQH is prescribed by statute. IC 27-8-11-7(e) has the Department of Insurance prescribe the CAQH credentialing application form in electronic or paper format and requires both the applying provider and the credentialing insurer to use it. That is why one lapsed attestation reaches every carrier at once
Any willing provider, with written reasons. IC 27-8-11-3 reaches hospitals, physicians, pharmacists and other providers, and says an insurer’s terms and conditions may not discriminate unreasonably against or among providers. Deny a provider and the insurer has to give written notice explaining the basis and naming the specific terms and conditions the provider does not satisfy. It doesn’t force anyone to take you. It does mean a closed-panel answer in Indiana comes with a written reason you can act on
What it doesn’t reach. The commercial credentialing clock does not apply to Medicaid managed care contracting, so don’t plan the IHCP side around it

Medicare and the IHCP managed care programs are scoped and priced separately from a commercial package. Humana in Indiana is a Medicare Advantage and Medicaid story rather than a commercial group one, having exited employer-group commercial medical nationally; here it shows up as Humana Healthy Horizons in PathWays for Aging. Indiana has also had real payment friction on the Medicaid side during 2026, with providers reporting long waits on managed care claims, so we set cash flow expectations honestly rather than optimistically.

Carry a plan we didn’t list? Add it.

State of Indiana employee coverage, building trades and UAW-affiliated Taft-Hartley trusts, self-funded employer plans through a TPA, rented PPO networks. You name the plan, we find the real route. A large share of Indiana employer coverage is self-funded and leases network access rather than buying insurance, so the card names a TPA or the employer while the network behind it is Anthem, Encore, Sagamore or a national carrier. We identify the network from the card rather than chasing the administrator, because the contract you need is with the network. State employees reach you through your Anthem contract rather than a separate state agreement, and whether you sit in the Tier 1 HealthSync preferred tier is its own conversation with Anthem. You don’t need to know the plumbing. We do.

What we need from you

Send these once and we can start.

You give us this in one intake. Then we fill out the applications. No passwords, no patient information, and nothing gets submitted until you’ve read it and signed.

Your individual NPIPlus a Type 2 if you bill under a group. The Indiana managed care entities check the IHCP side before a contract moves, so both have to exist and be active.
Active Indiana license and DEAFrom the Indiana Professional Licensing Agency, for your provider type. IPLA licensure is a named document in the IHCP matrix, and Anthem verifies it directly with the licensing board.
CAQH attested and each payer authorizedStatutory here, not housekeeping. A stale profile makes every application unclean at once and forfeits the fifteen business day clock. You attest it. We keep it current and never ask for a password.
A printable full copy of that CAQH applicationWith supporting documents and certificates. Encore doesn’t subscribe to CAQH and accepts the paper copy instead, so an authorization-only approach leaves that one sitting.
Delegated IHCP portal accessSo we can complete your enrollment and each managed care request without password sharing. Confirm the mailing address on your enrollment profile too. Revalidation notices go there at 60 days and again at 30.
Entity name, EIN and W-9One per tax ID. The federal W-9 is a required document inside every IHCP enrollment packet.
Malpractice certificateNaming you, or a carrier-produced roster face sheet. PHP asks for professional liability documentation at the very first step, before it will send you to CAQH.
Five years of work historyMonth and year, with any gap over six months explained. In Indiana this is worth more than usual: an unexplained gap is exactly the error that makes a file unclean and gives away the statutory clock.
Rendering provider agreements, if you’re under a groupThe group signs an IHCP Rendering Provider Agreement for you at each service location, and has to produce current signed agreements again at revalidation.
Your service mix, honestlyIf any part of the plan is a certified program rather than an office visit, the IHCP matrix wants a DMHA certificate attached. This is a flag we confirm, not advice we give.

Two dated changes that alter the size of the panel you’re joining. Healthy Indiana Plan work requirements begin enforcement January 1, 2027 for members and applicants ages 19 to 64 who are not pregnant and not Medicare eligible, at 80 hours a month of work, half-time school, apprenticeship, a work program or volunteering, met for the three months before applying or renewing. That makes October through December 2026 the first lookback months. The exemption list is long and includes people who are medically frail or living with serious mental illness, people in substance use treatment, caregivers of children 13 or younger, pregnant and 12 months postpartum members, tribal members, former foster youth under 26, and the recently incarcerated. Separately, House Enrolled Act 1277 pulls long-stay nursing facility residents out of PathWays for Aging and back into fee-for-service starting July 1, 2027. Neither changes how you enroll. Both change who is enrolled.

Indiana certifies behavioral health organizations through the FSSA Division of Mental Health and Addiction, separately from your own professional license, under rules in 440 IAC. The categories are built around programs rather than office visits: a Community Mental Health Center has to offer six core areas including inpatient, residential and partial hospitalization, and the regime is written around governing boards, accreditation and audits. Where it turns real for a small practice is Medicaid, because the IHCP matrix requires a DMHA certificate for the CMHC, Adult Mental Health and Habilitation, Behavioral and Primary Healthcare Coordination, Child Mental Health Wraparound, MRO Clubhouse, Mobile Crisis Unit, CCBHC, opioid treatment and SUD residential specialties. Adding addiction treatment, crisis work, residential settings or unlicensed staff delivering treatment is the usual point where the question turns live. We ask about your staffing model and service mix during intake and confirm where you land before it can hold up a payer contract. We don’t tell you whether you need a certification, we don’t publish the rules, and we don’t file it for you.

How it works

You answer once. We do the paperwork.

Buy the package

Published price and scope. No call needed.

One intake

Short and guided. It asks more only where your answers call for it.

We fill it out

Your IHCP enrollment, each managed care request and every commercial application, prepared from what you told us.

You review and sign

Read it, change anything, sign. Nothing goes out until you say so.

We submit and track

Every purchase includes Command Suite, so you can see where each payer application stands, what we’re working on, what’s waiting on a payer, and what we still need from you.

What we commit to

If something we delivered does not work the way we said it would, we fix it at no charge for 30 days after delivery, including one stabilization review. That covers our own work. A new request, another payer or provider, a change of scope, or a new build is quoted separately. You will not get an invoice for correcting our mistake.

Everything we set up is built for the practice you are growing into, not only the one you have today. Adding a provider, a location, or another payer should be a configuration step rather than a rebuild, and the automations and workflows we deliver are sized with that headroom from the start. When the engagement ends you own the accounts, the documentation, and the systems, and they keep running without us.

Questions we get

Indiana credentialing questions

What is provisional credentialing in Indiana and how do I get it?

Under IC 27-8-11-7 for insurers and IC 27-13-43-2 for HMOs, a carrier that receives a clean credentialing application and fails to issue a determination within fifteen business days has to provisionally credential you under NCQA provisional credentialing standards and tell you it did. That status holds until a determination is made. Once you’re fully credentialed and a network provider agreement is executed, reimbursement runs retroactive to the provisional date at your contracted rates. Fifteen business days is roughly three weeks against the 60 to 120 days that’s normal everywhere else. It’s the carrier’s legal obligation, not a promise we can make for them, and it only fires if the application was clean.

What makes a credentialing application clean in Indiana?

The statute defines it as an application that contains no error and can be processed by the carrier without being returned. That definition is the whole game. A stale CAQH attestation or one unexplained work-history gap makes the file unclean, the clock never starts, and the provisional credentialing and back pay never attach. The carrier has five business days to tell you what’s wrong and why, and you get five business days to respond. Getting a file genuinely clean on the first pass is precisely the work.

Which Indiana Medicaid plans do I actually need?

It depends on who you see, because Indiana splits Medicaid into four managed care programs with different plan lists. Hoosier Healthwise and the Healthy Indiana Plan are Anthem, CareSource and MHS. Hoosier Care Connect is Anthem, MHS and UnitedHealthcare. PathWays for Aging, for members 60 and older, is Anthem, Humana and UnitedHealthcare. Anthem is the only plan in all four, which is part of why it’s the first contract we go after. MDwise stopped serving Hoosier Healthwise and HIP on January 1, 2026 after FSSA ended its contract, so any Indiana checklist still listing MDwise is out of date.

Which provider type does a psychiatric nurse practitioner enroll under in Indiana Medicaid?

An advanced practice nurse enrolls under provider type 09, Advanced Practice Registered Nurse. Here’s the honest part. The specialty list under type 09 covers pediatric, obstetric and family nurse practitioners, clinical nurse specialists, CRNAs and certified nurse midwives, and we did not find a psychiatric nurse practitioner option in it. So which specialty a psych NP should carry is a real open question, and it’s one we put to Indiana Medicaid provider enrollment on the phone rather than guessing at. Filing under the wrong specialty is how a practice ends up with claims denying for a reason nobody can find months later. We’d rather make the call.

Can I enroll in Indiana Medicaid from out of state?

It depends on whether you’re enrolling as a person or as a program, and Indiana is unusually clear about it. The IHCP matrix marks a long list of behavioral health program specialties as ineligible for out-of-state enrollment entirely, including outpatient mental health clinic, community mental health center, adult mental health and habilitation, child mental health wraparound, mobile crisis unit and CCBHC. Individually licensed practitioners are treated differently and have an out-of-state column, as do physicians and advanced practice nurses. So an Indiana-licensed prescriber sitting in another state can usually still enroll, while an out-of-state entity trying to enroll as an Indiana outpatient mental health clinic cannot. That decides how a multi-state telehealth practice has to be structured, which is why we check it before anyone signs a lease or forms an entity.

Do I have to enroll with Indiana Medicaid if I never bill it?

If you order, prescribe or refer for an IHCP member, yes. The IHCP states it directly: reimbursement for services or supplies resulting from a practitioner’s order, prescription or referral requires that provider to be enrolled. So the denial lands on the pharmacy or the receiving provider rather than on you, which is exactly why nobody notices until a patient calls from the counter. Indiana has a lighter ordering, prescribing, referring enrollment built for this, and it carries no application fee.

Is my CAQH profile enough for every Indiana payer?

Almost, and the exception is expensive. Indiana wrote CAQH into statute: IC 27-8-11-7(e) has the Department of Insurance prescribe the CAQH form and requires both the applying provider and the credentialing insurer to use it. But Encore Health Network, one of the largest PPOs in the state, doesn’t subscribe to CAQH. It accepts a paper copy of the fully completed application in its place, so authorizing CAQH and assuming you’re done leaves an Encore application that never existed. Authorizing is not the same as filing, and we check sufficiency per payer rather than per state. You complete and attest your own profile. We never ask for a password.

How long does credentialing take in Indiana?

Plan on 60 to 120 days per commercial payer end to end, from a clean file to a countersigned contract. Anthem describes the credentialing step alone as commonly 30 to 90 days and issues an application number with a five business day notice if the file is incomplete. PHP in Fort Wayne notifies you within 10 business days of its Credentials Committee recommendation once verification finishes. The fifteen business day statutory clock is shorter than any of those numbers, and it only runs on a genuinely clean application, which is why we spend the time up front rather than in the follow-up.

Keep reading

Indiana PMHNP scope of practiceWhat Indiana allows you to do, separate from who pays you.
Illinois credentialing and payer enrollmentThe state credentials Medicaid providers itself, and a new law reaches the behavioral carve-outs.
Ohio credentialing and payer enrollment90 days, and the strongest late-payment remedy we have found anywhere.
Kentucky credentialing and payer enrollmentAny willing provider tested at the Supreme Court, and payment during the wait.
Michigan credentialing and payer enrollmentAnother state where an unenrolled prescriber quietly kills the pharmacy’s claim.
Opening your own practiceEntity, identifiers, payers, EHR and billing setup.
Adding a provider to your clinicFirst-time credentialing into contracts you already hold.
Changing your entity or tax IDMoving panels without breaking the money.

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Where this comes from

Indiana Code Title 27, Article 8 Chapter 11 and Article 13 Chapter 43, credentialing and any willing provider verified July 26, 2026
Indiana Family and Social Services Administration, Indiana Medicaid managed care entities and program rosters verified July 26, 2026
FSSA and Gainwell Technologies, IHCP Provider Enrollment Type and Specialty Matrix version 11.1 (March 26, 2026) verified July 26, 2026
FSSA Division of Mental Health and Addiction, certification categories and 440 IAC rules verified July 26, 2026
FSSA, Healthy Indiana Plan work requirements beginning January 1, 2027 verified July 26, 2026
Anthem Blue Cross and Blue Shield, Indiana network participation and the Availity enrollment tool verified July 26, 2026
Optum / Provider Express, Indiana any willing provider recognition and county-level prescriber need verified July 26, 2026
Aetna and Evernorth Behavioral Health, participation routes and the application pause verified July 26, 2026
Encore Health Network and Sagamore Health Network, provider types credentialed and network ownership verified July 26, 2026
Physicians Health Plan of Northern Indiana and Priority Health; CareSource Indiana Behavioral Health Reference Guide; Indiana State Personnel Department verified July 26, 2026

Written by Ryan Berg, founder of AdvanceAPractice. 16 years in healthcare revenue cycle and credentialing.

Facts on this page were verified July 26, 2026 and are next due for review September 28, 2026.

Payer programs, plans and timelines change. Everything here carries a verification date and gets re-checked on a review cycle; this record is next due for review on September 28, 2026. Approval and effective dates are controlled by each payer and by the state. This page covers payer operations. It isn’t legal, tax or scope of practice advice.